| NPI | 1821280389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 106180) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AZ D7379) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2021-11-23 |